Endodontics is the treatment of the inside of the tooth, known as the dental pulp. The most common procedure in endodontic therapy is root canal therapy. Endodontists in Los Angeles are specially-trained, board-certified dentists who’ve completed a minimum of two years of additional training after earning their dental degrees.
Root Canal Therapy
Root canal therapy is a safe, effective procedure your dentist may recommend if you have a dental infection that affects the pulp chamber of the tooth, which can damage the nerves inside the tooth. Symptoms of a tooth pulp infection include pain, sensitivity to hot and/or cold, and swelling of the gums.
The therapeutic procedure involves removing the root and blood vessel structures inside the tooth and replacing them with an inert material. Root canal therapy often eliminates the need for tooth extraction.
You may have heard horror stories about root canal therapy being painful. The truth is, these days root canal therapy is generally no more painful than a typical tooth filling procedure. Root canal may be performed using local anesthesia, or your endodontic professional may offer sedation dentistry as an option.
“Re-treatment” is when a root canal therapy procedure is performed on a tooth that has already had the procedure performed. Although the majority of root canal treatments are successful, re-treatments may be necessary if pain or symptoms reoccur or if the tooth shows symptoms of bacterial infection.
Some pain in the days immediately following root canal therapy is normal; check with your dentist if pain is persistent or if you experience any unusual symptoms. In the small number of cases in which the initial root canal therapy does not heal properly, re-treatment may allow you to save the tooth from being extracted.
Re-treatment may be performed non-surgically, much like the initial root canal therapy. The endodontist typically uses a dental operating microscope for an extremely precise procedure. In the rare case that retreatment fails, or if non-surgical retreatment is not appropriate to the situation, endodontic dental surgery may be required.
Apicoectomy is sometimes recommended if a root canal is not successful. Apicoectomy is also known as root end surgery. The microsurgery procedure removes the tip of the tooth root, or apex, which is where nerves and blood vessels enter and exit the tooth. In some cases, the dentist may also remove infected tissue that surrounds the root tip. The tooth is then sealed with a filling.
The procedure is generally performed in 30-90 minutes and typically requires general anesthesia. Allow plenty of time to recover following an apicoectomy and be sure to follow all of your endodontist’s post-surgery recommendations.
Because of the medications used to help constrict blood vessels during this surgery, apicoectomy may not be suitable for all patients, particularly those who have high blood pressure. Your dentist will help you determine if apicoectomy is appropriate for you.
A retrofill is the filling placed at the end of the tooth during an apicoectomy procedure. Retrofilling is used to seal the tooth from bacteria to reduce the risk of further infection.
A New Smile Dental offers top endodontic dentists in Los Angeles, Santa Clarita and San Ferndando at 3 locations. Comprehensive services are offered at each location with most insurance accepted along with several financing options available.
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